PMID- 24510228 OWN - NLM STAT- MEDLINE DCOM- 20141216 LR - 20211021 IS - 1432-0428 (Electronic) IS - 0012-186X (Linking) VI - 57 IP - 5 DP - 2014 May TI - A PGC-1alpha- and muscle fibre type-related decrease in markers of mitochondrial oxidative metabolism in skeletal muscle of humans with inherited insulin resistance. PG - 1006-15 LID - 10.1007/s00125-014-3187-y [doi] AB - AIMS/HYPOTHESIS: Insulin resistance in obesity and type 2 diabetes is related to abnormalities in mitochondrial oxidative phosphorylation (OxPhos) in skeletal muscle. We tested the hypothesis that mitochondrial oxidative metabolism is impaired in muscle of patients with inherited insulin resistance and defective insulin signalling. METHODS: Skeletal muscle biopsies obtained from carriers (n = 6) of a mutation in the tyrosine kinase domain of the insulin receptor gene (INSR) and matched healthy controls (n = 15) were used for discovery-mode microarray-based transcriptional profiling combined with biological pathway analysis. Findings were validated by quantitative real-time PCR, immunoblotting and activity assays. RESULTS: In INSR mutation carriers, insulin resistance was associated with a coordinated downregulation of OxPhos genes in skeletal muscle. This was related to a 46% decrease in mRNA levels (p = 0.036) of peroxisome proliferator-activated receptor-gamma coactivator-1alpha (PGC-1alpha), and 25-50% lower protein content of OxPhos subunits encoded by mitochondrial (ND6, p = 0.042) and nuclear DNA (UQCRC1, p = 0.001; SDHA, p = 0.067; COX5A, p = 0.017 and ATP5B, p = 0.005), as well as reduced citrate synthase activity (p = 0.025). Moreover, mutation carriers showed a marked reduction in type 1 muscle fibres (35% vs 62%, p = 0.0005) and increased type 2a fibres (53% vs 32%; p = 0.002) compared with controls. There were no differences in protein content and phosphorylation of 5' AMP-activated protein kinase, p38 mitogen-activated protein kinase, Erk1 and Erk2. CONCLUSIONS/INTERPRETATION: These data indicate that inherited insulin resistance coincides with reduced mitochondrial oxidative capacity in a PGC-1alpha- and muscle fibre type-related manner. Whether this co-existence is directly or indirectly related to insulin resistance remains to be elucidated. FAU - Kristensen, Jonas M AU - Kristensen JM AD - Department of Endocrinology, Odense University Hospital, Klovervaenget 6, 4, 5000, Odense C, Denmark. FAU - Skov, Vibe AU - Skov V FAU - Petersson, Stine J AU - Petersson SJ FAU - Ortenblad, Niels AU - Ortenblad N FAU - Wojtaszewski, Jorgen F P AU - Wojtaszewski JF FAU - Beck-Nielsen, Henning AU - Beck-Nielsen H FAU - Hojlund, Kurt AU - Hojlund K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140209 PL - Germany TA - Diabetologia JT - Diabetologia JID - 0006777 RN - 0 (Antigens, CD) RN - 0 (PPARGC1A protein, human) RN - 0 (Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha) RN - 0 (Transcription Factors) RN - EC 2.7.10.1 (INSR protein, human) RN - EC 2.7.10.1 (Receptor, Insulin) RN - S88TT14065 (Oxygen) SB - IM MH - Adult MH - Antigens, CD/genetics MH - Case-Control Studies MH - Family Health MH - Female MH - Heterozygote MH - Humans MH - Insulin Resistance/*genetics MH - Male MH - Middle Aged MH - Mitochondria/*metabolism MH - Muscle, Skeletal/*metabolism MH - Mutation MH - Oligonucleotide Array Sequence Analysis MH - Oxidative Phosphorylation MH - Oxygen/*metabolism MH - Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha MH - Phosphorylation MH - Protein Structure, Tertiary MH - Receptor, Insulin/genetics MH - Signal Transduction MH - Transcription Factors/*metabolism MH - Transcription, Genetic MH - Young Adult EDAT- 2014/02/11 06:00 MHDA- 2014/12/17 06:00 CRDT- 2014/02/11 06:00 PHST- 2013/10/15 00:00 [received] PHST- 2014/01/17 00:00 [accepted] PHST- 2014/02/11 06:00 [entrez] PHST- 2014/02/11 06:00 [pubmed] PHST- 2014/12/17 06:00 [medline] AID - 10.1007/s00125-014-3187-y [doi] PST - ppublish SO - Diabetologia. 2014 May;57(5):1006-15. doi: 10.1007/s00125-014-3187-y. Epub 2014 Feb 9.